42 C.F.R. § 512.380 – PPA Amounts and schedules.

CMS adjusts the payments described in § 512.375 based on the ETC Participant's MPS calculated as described in § 512.370(d) according to the following amounts and schedules in Table 1 and Table 2 to § 512.380.

Table 1 to § 512.380—Facility PPA Amounts and Schedule
	MPS	Performance payment adjustment period
1 and 2(%)	3 and 4(%)	5 and 6(%)	7(%)
Facility Performance Payment Adjustment	≤6	+4.0	+5.0	+6.0	+7.0
	≤5	+2.0	+2.5	+3.0	+3.5
	≤3.5	0	0	0	0
	≤2	−2.5	−3.0	−3.5	−4.5
	≤.5	−5.0	−6.0	−7.0	−9.0

Table 2 to § 512.380—Clinician PPA Amounts and Schedule
	MPS	Performance payment adjustment period
1 and 2(%)	3 and 4(%)	5 and 6(%)	7(%)
Clinician Performance Payment Adjustment	≤6	+4.0	+5.0	+6.0	+7.0
	≤5	+2.0	+2.5	+3.0	+3.5
	≤3.5	0	0	0	0
	≤2	−2.5	−3.0	−3.5	−4.0
	≤.5	−5.0	−6.0	−7.0	−8.0

[85 FR 61362, Sept. 29, 2020, as amended at 90 FR 53142, Nov. 24, 2025]